Doctor Name: | LANNY DARMAWAN |
NPI Number: | 1093077422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. ED. |
License Number: | 597566121 |
Business Practice Address: | 142-20 84th Drive Apt. 7e Briarwood, NY - 114352103 |
Business Phone Number: | 6464603200 |
Business Fax Number: | |
Mailing Address: | 14220 84th Dr, Apt. 7e BRIARWOOD |
State: | NY |
Postal Code: | 114352152 |
Phone Number: | 6464603200 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2012 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 597566121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |